Active NPI
Kurt A Brewster, MD
- Internal Medicine Physician
- Grants Pass, OR
National Provider Identifier
1922270966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD20661
- Practice address
- 1601 NE 6TH Street
Grants Pass, OR 97526-1494 - Phone
- (541) 474-1020
- Fax
- (541) 474-1108
- NPI assigned
- Mar 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD20661 | OR | Primary |
Addresses
Primary practice location
1601 NE 6TH Street
Grants Pass, OR 97526-1494
Mailing address
1737 SW Hartley Ave
Gresham, OR 97080-8370
Phone (541) 474-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20661 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Health of Oregon LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Grants Pass, OR
- NPI 1033437694
-
- General Practice Physician
- Tigard, OR
- NPI 1205226214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1922270966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 SW HARTLEY AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970808370",
"telephone_number": "541-474-1020",
"fax_number": "541-474-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NE 6TH STREET",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261494",
"telephone_number": "541-474-1020",
"fax_number": "541-474-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "KURT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD20661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.